Non-intubate video assisted thoracoscopic under local anesthesia for catamenial pneumothorax.

We report a case of successful catamenial pneumothorax repair under local anesthesia and sedation. A female patient who presented with spontaneous pneumothorax with persistent air leak. Preoperative computed tomography did not reveal any abnormality. Surgery was planned for exploration. In the intraoperative field, we incidentally found a pore in the diaphragm. Therefore, we performed apical lung wedge and resect the pore at the diaphragm covered with a polypropylene mesh. The surgery was performed under anesthesia with intravenous drugs and an oxygen mask with a reservoir bag without endotracheal intubation. The patient was discharged 4 days after surgery and was doing well at 1-month follow-up. PMID: 32971062 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research

Related Links:

Authors: Yamaya T, Baba T, Hagiwara E, Ikeda S, Niwa T, Kitayama T, Murohashi K, Higa K, Sato Y, Ogura T Abstract Coronavirus disease 2019 (COVID-19) has been recognized as a worldwide pandemic. However, the clinical course of COVID-19 remains poorly characterized. Although some cases of pneumothorax have been reported, they all had pulmonary complications or were managed with mechanical ventilation. We herein report a case of pneumothorax that developed even though the patient had no pulmonary underlying diseases and had never been managed with mechanical ventilation. In the present case, a lung bulla was found on...
Source: Internal Medicine - Category: Internal Medicine Tags: Intern Med Source Type: research
Authors: Terboven T, Heblich LA, Weiß C, Viergutz T, Rudolph M, Waldeck S, Schönberg S, Overhoff D Abstract Objectives: Needle decompression of tension pneumothorax in children is a rarely encountered but potentially life-saving procedure, that is accompanied by a certain risk of injury. We evaluated the nipple as a landmark for an alternative anterior insertion site and as an aid in localizing lateral insertion sites, as well as its influence on the safety profile of the procedure. Methods: In thoracic computer tomography scans of children aged 0-10 years, the distance to the closest vital structure was...
Source: Prehospital Emergency Care - Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
Source: Intensive Care Medicine - Category: Intensive Care Source Type: research
Authors: Rezaei R, Soroush N, Rezaee K, Zehi V PMID: 33014094 [PubMed]
Source: Polish Journal of Cardio-Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Tags: Kardiochir Torakochirurgia Pol Source Type: research
Hermansky-Pudlak syndrome (HPS) is an extremely rare disease with pulmonary fibrosis (PF), oculocutaneous albinism, induced platelet dysfunction, and granulomatous colitis. Although patients with HPS-associate...
Source: BMC Pulmonary Medicine - Category: Respiratory Medicine Authors: Tags: Case report Source Type: research
CONCLUSIONS: The transperitoneal placement of a single mediastinal drain can reduce postoperative pain and the incidence of pleural effusion, without increasing the incidence of other major postoperative complications and postoperative hospital stay. PMID: 33031778 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
How this paper will improve care: This quality improvement project in a tertiary children's hospital demonstrates that standardization of care of primary spontaneous pneumothoraces, guided by radiological parameters in conjunction with the number of previous episodes, reduces hospital length of stay and diagnostic radiation exposure.
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Source Type: research
ConclusionsHigh body mass index, male sex, and the absence of a guidewire inside the nasogastric tube at the time of chest X-ray are associated with a risk of insufficient visibility of the tube on X-ray. Patient profiles can be defined in which supplementary attention is needed when obtaining chest X-rays whose purpose is to confirm nasogastric tube positioning.Key Points•The quality of chest X-rays to confirm the positioning of nasogastric tubes in adults can be improved considerably.•There are several factors influencing the confirmation of nasogastric tube positioning on X-ray.•Defining patient profiles ...
Source: European Radiology - Category: Radiology Source Type: research
Publication date: Available online 3 October 2020Source: Medicina Intensiva (English Edition)Author(s): R.M. Vela Colmenero, M.D. Pola Gallego de Guzmán, M.C. Molina de la Torre
Source: Medicina Intensiva - Category: Intensive Care Source Type: research
Conclusions: Pneumothorax is a notable complication in cases of severe COVID-19 pneumonia, especially in those who require positive-pressure ventilation. PMID: 32999855 [PubMed]
Source: Respiratory Care - Category: Respiratory Medicine Authors: Tags: Respir Med Case Rep Source Type: research
More News: Anesthesia | Anesthesiology | Cardiovascular & Thoracic Surgery | CT Scan | Endotracheal Intubation | Gastroschisis Repair | Pneumothorax